Day Camp Registration Form
SUMMER 2026
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Camper Name
*
First Name
Last Name
Camper Grade
*
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
Grade going into this fall.
Debit or Credit Card Method
*
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Day Camp Camper Fee
Non-Bledsoe County Residents
$75.00
$
75.00
Day Camp Bledsoe County Camper Fee
Applies a $45 Scholarship for Bledsoe County Residents
$30.00
$
30.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: